Mhando yemhepo inofefetera inoshandiswa kune zvirwere zvakasiyana yakasiyana.Kazhinji kutaura, single-level automatic ventilator inoshandiswa kune varwere vane ngonono;iwo maviri-level ST modhi yekufema yezvirwere zvemapapu.Kana ari murwere akanyanya kuoma ngonono, zvingave zvakakodzera kushandisa Bilevel mhepo inofefetera.Mhando yemhepo inofefetera inoshandiswa kune zvirwere zvakasiyana yakasiyana.Kune akawanda modes eisina-invasive ventilator.Izvi zvinotevera zvinotsanangura maitiro emhepo inofefetera.Iwe unogona kusarudza iyo isiri-invasive ventilator inokodzera iwe zvinoenderana nekwako mamiriro.
Iyo mhepo inofefetera ine CPAP, S, T, S/T modhi, sezvinotevera:
1. CPAP maitiro emhepo: inoenderera mberi yakanaka airway pressure mode
CPAP: Inopfuurira Positive Airway Pressure Mode-Continuous Positive Airway Pressure, murwere ane kufema kwakasimba kwepakarepo, mhepo inofefetera inopa kudzvinyirirwa kwakafanana mumatanho ekufema uye ekufema kubatsira murwere Kuvhura nzira yemhepo.Inonyanya kushandiswa kuvarwere vane OSAS obstructive sleep apnea syndrome, kufema kwakasimba kwepakarepo, uye rubatsiro rushoma kubva kumhepo inofefetera.Hapana chinokonzeresa, hapana kushandura, muviri wemunhu unofema zvakasununguka, kudzvanywa kunodzorwa kunogara kuchimanikidza, uye kudzvanywa kwechikamu chekufemerwa uye chikamu chekufema zvakaenzana.Kubatsirwa kufema (kutsigirwa kwetsigiro ndeye 0) + kudzora kudzvinyirira ndiyo inonyanya kushandiswa isiri-invasive mode.Physiological effects yakaenzana nePEEP (positive end-expiratory pressure): kuwedzera kushanda kwakasara kwehuwandu, kuvandudza kutevedza;kuderedza kushandiswa kwesimba rinofuridzira, kunatsiridza kukonzera;chengetedza nzvimbo yekumusoro yemhepo yakavhurika.
2. S maitiro emhepo inofefetera:
S mode of autonomous ventilation Spontaneous breathing mode --- Spontaneous breathing mode, murwere ane kufema kwega kana kuti anogona kuita kuti mhepo inofefetera ipinde yakasununguka, mhepo inofefetera inongopa IPAP neEPAP, murwere anotonga nguva yekufema uye chiyero chekufema / nguva yekufema. kuzvimiririra Kune varwere vane kufema kwakanaka kwega kwega kana varwere vane pakati pekurara apnea.Chinongozviitira kufema chinokonzeresa: Iyo yekufemesa nekufema kwemurwere zvinonyatsoenderana.Kana kufema kwemurwere kwega kwakamira, mhepo inofefetera inomirawo kushanda.Kudzora kudzora (kudzorwa nguva dzose): chengetedza preset IPAP (inofemerwa airway yakanaka kudzvanywa) kudzvanywa pane inofemerwa mhepo, uye chengetedza preset EPAP (expiratory airway positive pressure) kudzvanywa pamhepo yekufemesa Iri kuyerera kwekuchinja, kunobatsira kufema + kudzvanywa. control, uye yakajairika isiri-invasive modhi.
3. T maitiro emhepo inofefetera:
nguva yekufefetera mode T Nguva yekudzora mhepo-Yakanguva yekudzora maitiro, murwere haana kufema kwega kana kuti haagone kuita kuti mhepo inofefetera ichizvimiririra, iyo inofefetera inodzora zvizere kufema kwemurwere, inopa IPAP (positive inspiratory phase airway pressure), EPAP (expiratory). phase airway Positive pressure), BPM, Ti (inspiratory time/expiratory time ratio).Iyi modhi inonyanya kushandiswa kuvarwere vasina kufema kwega kana kuti vane simba rekufema rinoita zinyekenyeke.Nguva inokonzeresa: Iyo mhepo inofefetera inoshanda panguva yakatarwa uye haina kuwiriraniswa nekufema kwemurwere.Kudzora kudzvinyirira (kunogara kuchimanikidza): Chengetedza preset IPAP (inofemerwa airway yakanaka kumanikidza) kudzvanywa pane inofemerwa mhepo, uye chengetedza preset EPAP (expiratory airway positive pressure) pamhepo yekufemesa Kudzvanya nguva kushandura: kudzora kufema + kudzora kudzora, kusiri- invasive mode isingawanzo shandiswa.
4. S/T modhi yemhepo inofefetera:
inozvimiririra/nguva yekufefetedza modhi S/T Spontaneous/Timed automatic switching mode --- Spontaneous/Timed automatic switching mode.Kana kutenderera kwekufema kwemurwere kuri kushoma pane nguva inoenderana neiyo backup ventilation frequency, iri muS mode;kana kutenderera kwekufema kwemurwere kwakakura kupfuura kudzokororwa kwemhepo yekufema, iri muT mode.Otomatiki switching point: iyo nguva inoenderana ne backup yemhepo frequency yakadai se: BPM = 10 nguva / min, kufema kutenderera = 60 masekonzi / 10 = 6 masekonzi, ipapo mhepo inomirira 6 masekonzi, kana murwere anogona kukonzeresa mhepo mukati me6. masekondi, iyo vhezheni Iri S kushanda modhi, zvikasadaro iri T modhi.Iyi modhi ndiyo inonyanya kushandiswa uye inoshandiswa kune vakasiyana varwere.a.Kufema kwega kwega kunokonzeresa kana mafemero ekufema ari ega> preset frequency yemhepo inofefetera.Iyo yekufemesa nekufema kwemurwere zvinonyatsoenderana.Iyo yekumanikidza kutonga kuyerera kweyero inoshandurwa.b.Iko kungoerekana kwaitika kufema
Nguva yekutumira: Jul-14-2020